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Bile Duct Exam With Biopsy Via Existing Drainage Tract

West Virginia rates for HCPCS 47553

Using a thin scope passed through an existing drainage tract in the abdomen, a doctor examines the bile ducts, the channels that carry bile from the liver to the intestine, and takes a tissue sample for testing. This approach works through a tract that is already in place from a prior drainage procedure, rather than requiring a new access point. It helps identify the cause of a bile duct blockage or abnormality.

Rates data updated July 2026.

How much does Bile Duct Exam With Biopsy Via Existing Drainage Tract cost?

$611

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $611 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $302 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$275 to $347
Facility feeThe hospital or surgery center$302$282 to $1,413

How much rates vary

Facilitymedian $302 · 10th to 90th $282 to $1,738Professionalmedian $309 · 10th to 90th $257 to $437
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $302professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$354.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$4,466.84
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$549.54

Where West Virginia sits

The same service costs 22.3 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWest Virginia $611 · 50th of 50
WY $13,619WV $611

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.